Active NPI
The Digestive Disease Institute, P.C.
- Gastroenterology Physician
- Flint, MI
National Provider Identifier
1497040893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 4301093129
- Legal business name
- THE DIGESTIVE DISEASE INSTITUTE, P.C.
- Practice address
- 5059 Villa Linde Pkwy
Suite 28
Flint, MI 48532-3438 - Phone
- (810) 720-7600
- Fax
- (810) 720-8220
- NPI assigned
- Jun 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mustafa Alnounou, M.D.
- Title
- Owner
- Phone
- (810) 397-4717
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 4301093129 | MI | Primary |
Addresses
Primary practice location
5059 Villa Linde Pkwy
Suite 28
Flint, MI 48532-3438
Mailing address
5059 Villa Linde Pkwy
Suite 28
Flint, MI 48532-3438
Phone (810) 720-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111221000237 | MI | Part B Supplier - Clinic/Group Practice | 6103092283 |
Receives reassigned benefits from 4 practitioners Practice locations: Flint, MI |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/14162/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Flushing, MI
- NPI 1679104186
MI, Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308009600000",
"number": "1497040893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5059 VILLA LINDE PKWY",
"address_2": "SUITE 28",
"city": "FLINT",
"state": "MI",
"postal_code": "485323438",
"telephone_number": "810-720-7600",
"fax_number": "810-720-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5059 VILLA LINDE PKWY",
"address_2": "SUITE 28",
"city": "FLINT",
"state": "MI",
"postal_code": "485323438",
"telephone_number": "810-720-7600",
"fax_number": "810-720-8220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE DIGESTIVE DISEASE INSTITUTE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-14",
"last_updated": "2011-06-14",
"status": "A",
"authorized_official_last_name": "ALNOUNOU",
"authorized_official_first_name": "MUSTAFA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "810-397-4717",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "4301093129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.